Shirley A. Hatten, LPN
Individual provider Active NPI Licensed Practical Nurse · Otway, OH
NPI 1508060948 · NPPES record last updated Jun 28, 2018
Key facts
- NPI
- 1508060948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 088660 (OH)
- Practice address
- 12700 State Route 348
Otway, OH 45657-9528 - Phone
- (937) 587-2353
- NPI assigned
- Jun 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 088660 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 088660 | OH | Yes |
Addresses
Primary practice location
12700 State Route 348
Otway, OH 45657-9528
Mailing address
12700 State Route 348
Otway, OH 45657-9528
Phone (937) 587-2353
Other providers in Otway, OH
- Cody Franklin Carver
- Anthony R Castillo
- Tina Chambers
- Brittany Curington
- Virginia Rae Hall
- Linda Marie Hoople
- Heidi Lute
- Savanna Lee Maguire
- Patricia Lynn Martin
- Ashley Nichols
All providers in Otway, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.